| NPI | 1386014918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3009753) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009753) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71011543A) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71011543A) | |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2024-09-10 |